<div>

    <form role="form">
        <div class="form-group col-xs-2 has-success has-feedback">
            <label for="exampleInputEmail1">Email address</label>
            <div>
            <input type="email" class="form-control " id="exampleInputEmail1" placeholder="Enter email">
            <span class="glyphicon glyphicon-ok form-control-feedback"></span>
            </div>
        </div>

        <div class="form-group col-xs-2 has-warning">
            <label for="exampleInputPassword1">Password</label>
            <input type="password" class="form-control " id="exampleInputPassword1" placeholder="Password">
        </div>

        <div class="checkbox">
            <label>
                <input type="checkbox"> Check me out
            </label>
        </div>

        <button type="submit" class="btn btn-primary ">Submit</button>
    </form>


</div>